Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
TEXAS HEALTH CARE, P.L.L.C.
Active
Organization
TEXAS HEALTH CARE, P.L.L.C.
Active
Other names
Prvia Medicial Group North Texas
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY D TATUM M.D. (C.E.O.)
(817) 740-8400
Entity
Organization
Contact information
Practice address
150 RIVER NORTH BOULEVARD, STEPHENVILLE, TX 76401-1860
(254) 968-6051
(254) 968-4950
Mailing address
P.O BOX 961205, FORTH WORTH, TX 76161-1205
(817) 740-8400
(817) 378-3699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up